Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $147.91	Professional		$75.86	$93.33	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $269.15	Facility		$162.18	$162.18	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $181.97	Professional		$138.04	$151.36	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $371.54 / $794.33	Facility		$100.00	$371.54	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $229.09 / $309.03	Professional		$72.44	$229.09	$309.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $131.83 / $199.53	Facility		$79.43	$131.83	$199.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $309.03	Professional		$144.54	$239.88	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $158.49 / $831.76	Facility		$81.28	$158.49	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $190.55	Professional		$74.13	$107.15	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $107.15	Professional		$54.95	$70.79	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $501.19	Professional		$162.18	$245.47	$501.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $323.59 / $1,000.00	Facility		$100.00	$323.59	$1,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $144.54 / $1,202.26	Professional		$72.44	$144.54	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $120.23 / $263.03	Facility		$95.50	$120.23	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $134.90	Professional		$66.07	$93.33	$134.90